SOW-SOCIAL_WORKER.docx

Attachment 1

STATEMENT OF WORK

SPECIAL NEEDS COORDINATOR - SOCIAL WORKER

1. SCOPE OF WORK. To support the Air Force Exceptional Family Member Program Medical (EFMP-M), 31 Medical Group has a requirement for one (1) social worker. The contractor shall provide all labor, materials, tools, equipment, transportation, and materials necessary to recruit, qualify and retain the social worker for a one (1) year performance period with four (4) 12-month option periods.

1.1. The prime contractor’s staff, including all teaming partners, subcontractors and their staff at corporate level involved in the company’s administration of this contract will hereafter be termed as Contractor. The prime Contractor retains responsibility for any teaming partner(s) or subcontractor(s) and shall be accountable for their performance.

1.2. The EFMP-M Social Worker recruited and hired by the Contractor to perform the services as described in this contract will be termed hereafter as “Special Needs Coordinator.”

1.3. Personal Services. The SNC under this contract will be personal services as described in 10 U.S.C. 1091 and DFARS 237.104. The position shall provide direct patient care activities in support of Air Force EFMP-M. The person placed under this contract shall be a U.S. citizen. The personal services designation does not apply to the prime contractor‘s staff, including all teaming partners, subcontractors and their staff at corporate level involved in the company’s administration of this contract.

1.4. Host Country Performance Considerations. This PWS requires performance of work in Italy. The procedures identified in Federal Acquisition Regulation (FAR) Part 25 as supplemented by the Defense Federal Acquisition Regulation Supplement (DFARS) PGI 225.74, Defense Contractors outside the United States, apply to this procurement. See Paragraph 5.5 for specific regulations or guidance. The contractor will be responsible for providing all necessary information to the Government for appropriate notification of foreign government(s). The contractor shall consider any lead-time necessary to meet those requirements. The individual placed under this contract must be granted host country approval or accreditation to perform in that country.

1.5. Offers should be prepared under the assumption that all positions will be designated as Technical Representative, Invited Contractor, Troop Care or Technical Expert under the various agreements between the United States and the foreign Governments. Subject to the respective Status of Forces Agreement (SOFA) or other host nation requirements, the following logistical support may be provided to defense contractor personnel performing work under this contract:

a. Common Access Card (CAC), Geneva Convention Card (DD Form 489), and ration cards (if applicable to location)

b. Any OCONUS Exchange service facilities (includes rationed items) such as Base Exchange, commissary, laundry and dry cleaning services.

c. Banking facilities

d. Morale and welfare recreational facilities (e.g., clubs, movie theaters, gyms)

e. Purchase of petroleum and oil products for rental and/or Government vehicles

f. Emergency medical and dental care services on a reimbursable cost basis, where available

g. Any theater-specific immunizations not available to the general public

h. Mess facilities

i. Quarters, billeting and temporary housing on a space available basis

j. Postal service

k. Religious services

l. Issuance of operator’s permit and license plates may be provided to contractor employees

m. Casualty assistance

2. CONTRACTOR RESPONSIBILITIES.

2.1. The Contractor shall accomplish the assigned work by employing and utilizing qualified personnel with appropriate combinations of education, experience, knowledge, training, abilities and skills (Reference Section 3 and Attachment 1 for minimum position qualifications).

2.1.1. The SNC will begin performance in the MTF at the earliest possible date, but not more than 120 days from contract award. All SOFA or host nation requirements, health, and security requirements shall be met prior to start of performance by an initial or replacement SNC.

2.1.2. The Contractor is responsible for obtaining all passports, visas, or other documents necessary for the SNC to enter and/or exit the foreign country where performance is required.

2.1.3. Substitute or temporary coverage for a permanent SNC is required for unplanned absences over 160 consecutive hours. All SOFA or host nation requirements, health, and security requirements shall be met prior to start of performance by an initial or replacement SNC.

2.2. The Medical Expense and Performance Reporting System (MEPRS) is the DoD accounting system for financial, personnel and workload within MTFs. The Contractor is responsible for providing all required information monthly (for example: personal data, work schedule, worked hours, work center, etc.) for all the SNC to the MEPRS manager or clinic MEPRS monitor for entry into the system by the Air Force. The contractor shall have a process in place internally to validate the time reported by the SNC is accurately reflected in MEPRS. The data in MEPRS shall be equivalent to billing invoices.

2.3. The Contractor shall provide AF specific orientation as part of their internal program for the SNC to include, but not limited to, the following topics:

1. Purpose of contract

1. Personnel qualifications, responsibilities and duties

1. Work hours

1. MTF specific, Mon – Fri (0730-1630)

1. Vacation, sick or paid time off (6 hrs for every 80 hrs or 2 wk pay period)

1. Dress code

1. MTF POC/COR responsibilities

1. Security policies

1. ADP III /SF 85P Submission

1. HIPAA

1. Host nation information and processing

1. Specific contractor/subcontractor requirements

1. Military Customs and Courtesies

1. Chain of command for problem identification/resolution

9. Pertinent to contract

9. Pertinent to AF and MTF

1. Working environment at the MTF and becoming part of the MTF team

3. POSITION REQUIREMENTS

3.1. Positions Descriptions: See Attachment 1 to this section for the position description.

3.2. Health Requirements:

3.2.1. In accordance with AFI 48-105, Surveillance, Prevention and Control of Diseases and Conditions of Public Health or Military Significance, the SNC shall follow the methods for controlling and preventing disease as described in the American Public Health Association publication, Control of Communicable Diseases Manual, and the Centers for Disease Control and Prevention (CDC) publication, Morbidity and Mortality Weekly Report (MMWR), and its supplements. Where applicable, the most recent guidelines from these publications are utilized as the standard. The contractor shall not hire and will be required to replace any SNCs that is not in compliance with AFI 48-105, Surveillance, Prevention and Control of Diseases and Conditions of Public Health or Military Significance, or CDC recommendations.

3.2.1.1. Prior to start of work, no medical tests or procedures required by the contract shall be performed by the Government unless the SNC is an eligible beneficiary (unless otherwise noted below). Expenses for all required tests and/or procedures shall be borne by the Contractor or SNC, not the Government. After start of work, in the event of blood borne exposure, the Government will provide follow up and care protocols according to applicable AFIs.

3.2.1.2. At least seven (7) calendar days before start of work, the contractor will provide documentation that SNC has been immunized from contagious diseases according to CDC guidelines or AFI 48-105, Surveillance, Prevention and Control of Diseases and Conditions of Public Health or Military Significance. They may include, but are not limited to: Hepatitis B, measles, mumps, rubella, varicella, and influenza, and Tetanus, Diphtheria, Pertussis.

3.2.1.2.1. Vaccines required by the CDC to protect travelers from illnesses present in other parts of the world and to prevent importation of infectious diseases across international borders must be considered by the Contractor and will be considered a health requirement of this contract. Vaccinations may differ depending upon performance location. It is the contractor’s responsibility to ensure the SNC has all required immunizations and has knowledge of health precautions for the respective country. For example, HIV testing, yellow fever, or malaria may be required. Additionally, health precautions exist in some countries such as safety of tap water, insect-borne disease and availability of prescription drugs, etc. are important to know.

3.2.1.2.2. Additionally, proof of a negative TB skin test (completed within the past 12 months [if positive, proof of negative chest X-ray within the past 12 months] prior to start of work) is required. Iin those areas where there is a higher risk of transmission of tuberculosis, the SNC may be tested as frequently as directed by the MTF policy. The Government may provide this test and a positive result will be handled according to current MTF or AFMS clinical guidelines.

3.2.1.3. A SNC working in an MTF is strongly encouraged to be immunized annually with the influenza vaccine. The Government may provide this vaccine to the SNC if available based on supply, demand, and risk of exposure. If the vaccine is obtained at other facilities, the cost will be borne by the Contractor or the SNC, not the Government.

3.2.1.4. Immunization information will be tracked in DoD computer systems for the SNC. However, the Contractor shall keep their own immunization records for the employees working on this contract. These records shall be available to the program office electronically.

3.2.1.5. The Contractor should inform the Government Contracting Office Representative (COR) or Quality Assurance Personnel (QAP) when/if the SNC reports their pregnancy. The Government is to notify the Contractor of any work hazards. If work hazards exist, it will be the Government’s decision whether the worker continues work in the environment.

3.3. Medical Health Insurance Coverage:

3.3.1. The overseas location in this requirement may have extremely limited medical support; therefore, it is in the best interest of all parties that the SNC have a documented physical based on a thorough review of the candidate's medical history and physical examination, including an individual assessment of his/her specific medical needs. While a candidate may effectively manage a chronic health condition or limitation within the United States, overseas management may be difficult when considering the medical capabilities in a foreign country, the differing health care standards, insurance coverage and availability of care.

3.3.2. Routine health care and all dental services for the SNC must be obtained/contracted with a local private hospital or the host country’s National Health System. The Government expects that the SNC will have adequate health insurance coverage provided by the contractor for overseas medical services.

3.3.3. Emergency healthcare services, including all required transportation expenses, if available, may be provided by the Government on a cost reimbursable basis. It is the responsibility of the contractor to ensure the Government is reimbursed for services rendered to the SNC, or the local agencies are paid. The SNC must have adeequate health insurance coverage provided by the contractor to pay for medical evacuation from the host country to receive emergency medical treatment when adequate treatment is not available in the host country.

3.4. Procedure Guidance: The SNC shall perform duties in accordance with the medical facility’s operating instructions, Air Force instruction and policies and higher-level DoD regulations. Changes or deviations from established objectives for services shall not be made without prior recommendation to, and approval of, the MTF Commander or authorized representative.

3.4.1. The Contractor is responsible to ensure all government-issued identification badges, keys, equipment and car passes are returned to the Contracting Officer (CO), Contracting Officer Representative (COR) or Government designee when an individual is leaving employment under this contract.

3.4.2. The Composite Health Care System (CHCS) and the newest version, AHLTA, are used to document patient care services. Access may be granted through the local MTF and the contractor shall comply with MHS communications and Government IT security standards and policies. The military facility will provide CHCS/AHLTA accounts for the SNC after required training and security procedures have been complete. The MTF will train the SNC on the use of AHLTA/CHCS. The SNC will use the Government computer systems and established MTF procedures to ensure adequate patient care activities meet record documentation and confidentiality requirements.

3.5. Work Schedules: A normal work week is 40 hours (8 hours per day). Duty hours will be dayshift hours, Mon - Fri (0730-1630 with 1 hr lunch break), no weekends and no Federal Holidays. Duty hours may include Air Force down days or base exercise days where limited military staffing is available and foreign holidays. The Contractor will be compensated only for time actually devoted to delivery of services in this contract unless a base or MTF closure prevents the SNC from performing a normal, scheduled duty day. For all locations, there may be occasions when mission and workload changes require employees to adjust work schedules to meet demand. The SNC will not perform overtime or on-call duties under this contract. In the instance where the Government supervisor directs the SNC to remain on duty in excess of their scheduled shift due to an unforeseen emergency or to complete patient treatment where lack of continuity of care would otherwise jeopardize patient health, the SNC shall remain on duty. This provision is not intended to apply to the time required to complete routine tasks (e.g., completion of paperwork or routine administrative tasks at the end of a shift), which are to be completed as part of the normal shift. The SNC’s schedule shall be adjusted for the additional hours such that the number of hours on the contract is not exceeded and no overtime is required.

3.6. Conduct: The CO may request that the Contractor or the SNC whose documented conduct, in the opinion of the CO and MTF commander interferes with proper order or professionalism at the MTF where services are performed or places patients at risk, be removed from such installation and the contractor will comply with such request.

3.7. Contractor Identification: The SNC shall clearly be identified as such at ALL times, including conversations, mail, email, faxes, and/or other electronic communication whether with Government personnel, other contractor personnel, or with public when supporting this contract. Likewise, the contractor shall abide by all applicable laws and regulations when using Government equipment and services in performance of this contract.

3.7.1. As a minimum, the SNC shall clearly identify himself/herself as a contractor by: wearing a badge which clearly and legibly identifies the employee as a contractor; using the label “contractor” in email addresses in accordance with Federal Acquisition Regulation (FAR) 37.114, Special Acquisition Requirements and IAW AFI 33-119, Air Force Messaging; opening ALL phone conversations with a statement materially the same as, [office name], I am [employee name], a [prime contractor’s company name] employee” including the employing contractor’s name in the letterhead and/or signature block of any written correspondence; and any other means necessary.

3.7.2. Contractor-supplied badges (see Paragraph 3.22) shall be worn by contractor management staff and the SNC and will be visible at all times. An acceptable badge would include: Name, Title, Contractor Company Name. For example, Jane Doe, RN Case Manager, Contractor, XYZ Company. Both the MTF-issued identification badge and the contractor badge shall be worn above the waistline during the individual’s duty hours.

3.8. Dress and Appearance: The SNC will maintain good personal hygiene and a well-groomed, professional appearance. Personnel should wear appropriate health care uniforms or professional business attire. If an MTF requires their staff to wear a uniform (i.e., scrubs, lab coat, etc.), the Air Force will provide it to them.

3.9. English Language: The SNC shall be proficient in reading, writing, understanding and speaking English at a level necessary to fully perform all required duties and tasks of their job. The CO may request demonstrations of ability to meet personnel language proficiency requirements by any reasonable method.

3.10. Automated Information Systems (AIS) III Security Requirements:

3.10.1. The Contractor shall not employ an individual who is a potential threat to health, safety, security, general well being, or operational mission of the Department of Defense (DoD) and its population. This shall include individuals who are a potential threat because of prior felony convictions

3.10.2. The SNC will have access to and/or process information requiring protection under the Privacy Act of 1974 on unclassified automated information systems (AIS) under this contract. Because of this access, the SNC working for the Government under this contract is in a non-sensitive public trust position designated as an Automated Information Systems III (formally ADP) position IAW DoD Directive 5200.2-R. In compliance with DoD Directive 5200.2-R and AFI 31-501, Personnel Security Program Management, Homeland Security Presidential Directive 12 and OPM memorandum, Interim Credentialing Standards for Issuing Personal Identity Verification Cards Under HSPD 12, 18 Dec 07, a National Agency Check with Inquiries (NACI) will be done for all contractor personnel. Additionally, security package processing must be initiated in the Office of Personnel Management (OPM) system and the Federal Bureau of Investigates (FBI) advanced fingerprint and name check completed prior to allowing interim access for the SNC.

3.10.3. The Contractor shall fully adhere to the provisions in these referenced publications by having the SNC who is performing under this contract submit the appropriate forms and have a positive outcome to the NACI investigation.

3.10.3.1. A favorable report is needed as a condition of employment under this contract. The Contractor understands that, while the installation or MTF commander may allow the SNC temporary or interim access to military installations and Government systems after an investigation is opened in the Joint personnel Adjudication System (JPAS) and following completion of the FBI national checks (hereafter termed as Interim Credentialing), the SNC will be immediately removed from the position if at any time the NACI receives an unfavorable adjudication.

3.10.3.2. The below disqualifying suitability factors include, but are not limited to:

· U.S. citizenship that cannot be verified.

· Individual has been barred from entry/access to any federal installation or facility or denied issuance of a DoD identification credential in the past.

· The individual is wanted by federal or civil law enforcement authorities, regardless of offense/violation.

· Incarcerated for 12 months or longer with the past 10 years regardless of offense/violation unless released on proof of innocence.

· Any conviction of espionage, sabotage, treason, terrorism or murder.

· Name appears on any federal agency’s watch list or hit list for criminal behavior, terrorist activity or expert control violations.

· Knowingly and willingly providing false information or documents associated with the SF85P process or orally during any subsequent personal interviews.

3.10.3.3. The Government process for the NACI (a.k.a., NAC with criminal history background check) from the USAF Submitting Office to OPM, through the FBI and ending with the favorable personnel security determination from the Air Force Central Adjudication Facility is a Government expense and is hereafter termed as an adjudicated investigation.

3.10.3.4. The time the SNC spends completing the required documentation either at home, the contractor’s corporate office or at the USAF submitting office or contractor overhead/administrative cost are not billable to the Government. Any anticipated cost incurred by the Contractor shall be included in their fully burdened prices submitted in the Price Section of the offeror’s proposal (i.e., wages, travel to Government facilities, etc.).

3.10.3.5. The SNC will have a complete Criminal History Background Check (CHBC) because he/she may have contact with children less than 18 years of age on a frequent and regular basis. This CHCB is done by the Government as part of the NACI and the Adjudicated Investigation process. No additional background check is necessary. The Contractor shall have a process in their Human Resource Management Plan to outline SNC training for security packages as well as a procedure for timely coordination with the USAF Submitting Office. No person shall begin performance in an MTF or begin travel to relocate to the overseas country for this contract until all requirements for the Interim Credentialing Standards for Issuing Personal Identity Verification Cards under HSPD-12 have been met.

3.10.4. A NACI package includes:

3.10.4.1. SF-85P, Questionnaire for Public Trust Positions from the Internet at http://www.opm.gov/forms/pdf_fill/SF85P.pdf.

3.10.4.2. Authorization for Release of Information (Page 8 of SF 85P).

3.10.4.3. Two (2) sets of FD-258, FBI Fingerprint Cards for each OPHSS employee.

3.10.4.3. The SNC may also be required to submit a Birth or Naturalization Certificate to the MTF Unit Security Manager.

3.10.5. Contract Security Package Submission Process.

3.10.5.1. Upon contract award, the Government will work with the Contractor to identify a USAF Submitting Office for the SNC’s security package. This office may be the closest USAF location to the company’s corporate office or multiple USAF bases depending upon the current location of the new SNC.

3.10.5.2. The Contractor will coordinate with the USAF Submitting Office and confirm an appointment for the SNC to be escorted on base to complete the security package. A visitor’s pass may be issued to the SNC for temporary base access. To obtain a pass, the SNC must have with them on arrival a valid driver’s license and current proof of insurance.

3.10.5.3. The SNC will bring with them a completed, but unsigned SF85P and Authorization for Release of Information. If there are omissions, inconsistencies or blanks in the form, requiring the USAF Submitting Office to deem it unacceptable, the SNC may be required to reaccomplish the form during the appointment or return with accurate information at another date/time.

3.10.5.3.1. The USAF Submitting Office will obtain the fingerprints from the SNC during this appointment. The SNC must present two identity source documents and at least one of the sources must be a valid Federal or State government-issued picture identification.

3.10.5.3.2. The USAF Submitting Office will witness the SNC signature and retain the completed security package for Government processing.

3.10.5.3.3. The USAF Submitting Office will send the complete and accurate security package to OPM.

3.10.5.3.4. The USAF Submitting Office, SNC and Contractor involvement in this phase of the process is complete until the USAF Submitting Office receives report from OPM that the Interim Credentialing is done and the FBI checks are free of any derogatory findings. Per above, no SNC may begin performance at the requesting location until the Interim Credentialing is complete. This phase of the NACI process is estimated to take approximately 2 weeks.

3.10.5.4. When the USAF Submitting Office has notification that the Interim Credentialing is complete, they will contact the SNC or Contractor to set the appointment for CAC Card issuance if authorized to be issued prior to travel to the requesting location.

3.10.5.4.1. The Adjudicated Investigation may take 4-6 months from the Interim Credentialing. However, the USAF Submitting Office will notify the Contractor when complete and the Government will make record in JPAS. The Government emphasizes that a favorable report is needed as a condition of continued employment under this contract.

3.10.5.4.2. If there is documentation in the Government security systems of a previous NACI and/or criminal history background check, proof of the check may be used in lieu of new request for the same investigation provided the previous favorable investigation was completed with no more than a 2-year break in service (from contract award date). The USAF Submitting Office will check JPAS for this proof prior to coordinating appointments with the Contractor.

3.10.6. The Contractor shall insure re-verification of the SNC if required during the contract period of performance.

3.11. MTF Privledging Requirement:

3.11.1. The SNC will not be subject to the credentials and privileging requirements of AFI 44-119, Medical Quality Operations, as well as adverse actions.

3.11.2. Any administrative adverse actions will be handled and processed IAW applicable Air Force instruction(s). In the event of an adverse action, the Contracting Officer (CO) will provide a written statement advising the Contractor of an adverse action. The written statement will detail the basis for the action, provide the Contractor sufficient information in order to make employment/substitution decisions as necessary, and if required, the final outcome of the adverse action process. Per 10 USC 1102, the Government will mark the written notice(s) according to the adverse action. No other information pertaining to the adverse action will be released without MTF permission.

3.11.3. The Government will conduct criminal background checks on the SNC during the AIS/security investigation per Paragraph 3.9 above as stated in DoDI 1402.5, Enclosure 5. The Contractor is responsible for ensuring the required security forms per Paragraph 3.9 above.

3.12. Prescriptions: Qualification to prescribe pharmaceuticals is not directly sought under this contract.

3.12.1. A social worker position will not prescribe at the MTF.

3.13. Referrals and Consults: The SNC shall follow DoD, Air Force and MTF regulations and policies when arranging for a referral or consult.

3.14. Privacy System Notices: The identified medical information systems identified in the hyperlink (PRIVACY SYSTEM NOTICES) are systems that may be accessed by the SNC during performance of duties. See Section J, Attachment 1.

3.15. Mission Essential Status: The SNC is not designated as a mission essential person.

3.16. MTF Requirements: The SNC shall complete all MTF-specified orientation program(s), initial and annual training requirements, and comply with all MTF policies, procedures, productivity standards and instructions as provided by the MTF.

3.17. Training Requirements:

3.17.1. The Government will provide initial MTF orientation and annual refresher training for the SNC. This requirement will be conducted during normal duties hours; thereby, the time is billable to Government. The Government will provide all the SNC any training required to have access to Government computer systems. For example, initial CHCS/AHLTA, Data Safeguarding, Privacy Act, Anti-Terrorism, and Information Assurance training will be provided upon in-processing at the requesting location.

3.17.2. The Government will provide the required Health Insurance Portability and Accountability (HIPAA) Privacy and Security Rule training. The SNC performing services for the Air Force is required to complete initial and annual refresher provided by the MTF and will be held accountable for complying with health information privacy and security policies and procedures. Reference Section H, Special Contract Clauses, for detailed HIPAA language.

3.17.3. Mandatory training and documentation for DoD-sponsored contractor personnel such as the SNC must complete Anti-Terrorism/Force Protection Training. Level 1 training compliant (IAW DoDI 2000.16) may be completed on line at https://atlevel1.dtic.mil/at/. Users must register for a new account on the AT Level I training application.

3.17.4. The Government will provide training specific to the job requirements/skills in person or virtually.

3.18. Continuing Medical Education (CME):

3.18.1. Periodic CME may be conducted at the MTF and will be available, at no cost, if the SNC desires to attend. If training is received within the MTF or requesting location, the time spent out of the duty section not performing contracted services (in order to obtain the CME), will not be billable to the Government.

3.18.2. The Government will not pay for training of the SNC unless the training requirement is military unique and can not be obtained in commercial training environments in civilian industry (i.e., EFMP-M training).

3.19. Life Support Certification: At a minimum, the SNC must maintain current certification in either the American Heart Association Basic Life Support (BLS) (Course C) or the American Red Cross CPR/BLS Course as required by AFI 44-102, Medical Care Management, Tables 1.1 through 1.6. The MTF will provide BLS refresher courses.

3.20. Records, Files, Documents, Data and Work Papers: All records, files, documents, data and work papers provided by the government remain Government property. The Quality Assurance Evaluator (QAE) will provide guidance to the contract personnel who shall maintain and dispose of these records, files, and documents in accordance with Air Force Manual 37-138, and IAW applicable HIPAA requirements. The SNC will comply with all AFMS requirements for safe keeping, handling, release, and disposal of any of the above information.

3.21. Contractor Furnished Items for the SNC:

3.21.1. Identification badges for the SNC must include, at a minimum, Name, Title, Contractor Company Name. For example, Jane Doe, Clinical Social Worker, Contractor, XYZ Company IAW Paragraph 3.6.

3.21.2. SNC Stamps for paper medical care documentation must include Name, Title, Contractor Company Name, MTF. For example, Jane Doe, Clinical Social Worker, Contractor, XYZ Company, 375th MDG, Medical Management-EFMP-M.

3.21.3. Special Request Items. Specially requested supplies, furniture or equipment not typically available at the MTF for all SNCs and required by the SNC will be the responsibility of the Contractor. This includes any upgraded or replacement supplies not routinely acquired by the MTF.

3.22. Quality Control Program Plan.

3.22.1. The contractor shall propose, establish, and maintain a complete quality control program to assure the requirements of the contract are provided as specified and shall provide one copy of the proposed program plan to the CO with the initial proposal. The CO or COR may review the proposed Quality Control Program Plan, make proposed changes, and return to contractor for revision, if necessary. An approved/accepted copy shall be provided to the CO prior to award of contract. The Government reserves the right to request copies of all inspection systems, internal policies and procedures, and medical protocols. The program shall include procedures to evaluate Contractor implementation of all requirements of the contract:

3.22.2. Quality Control Plan: The contractor shall design and recommend a quality control plan to fulfill and maintain all deliverables and requirements of the SOW.

3.22.3. In formulating the proposed plans, the Contractor shall address the following at a minimum:

3.22.1.1.1. The provision of supplementary staffing.

3.22.1.1.2. The compliance with civilian and DoD record coding standards.

3.22.4. The contractor shall provide a current copy of all medical protocols, pre-employment physical examinations, drug free environment control policy and procedures, blood borne pathogen and tuberculosis exposure control plan, and immunizations compliance plan and procedures. The Contractor shall establish internal policy and procedures for updating medical protocols. The Contractor shall provide established policies and procedures (to include retraining) for contractor personnel who do not comply with Contractors established medical protocols.

3.23. DoD Contractor Personnel Office Notification.

3.23.1. There are two categories of employees of DoD contractor employees in Italy: (1) those who are accredited as Technical Representatives and, (2) those who are employed under locally prevailing conditions of employment and are not considered Technical Representatives:

3.23.1.1. Technical Representatives(TRs). TRs require a missioner visa and sojourn permit (permesso di soggiorno, or soggiorno). They are exempt from Italian income taxation, labor legislation and social contributions. TRs may be eligible for ILS. The following persons will not acquire TR status: a person who is an Italian national, a person ordinarily resident in the Republic of Italy, a national of any state (country) not party to the North Atlantic Treaty, or a stateless person.

3.23.1.2. Non-Technical Representatives. Persons determined not to meet the eligibility criteria of TRs require Italian working visas. In addition, they are employed under local prevailing conditions of employment and are subject to Italian income taxation, labor legislation, and social contributions; and they are not eligible for individual and family ILS.

3.23.1.3. ***Family members of “members of the force” (i.e., active duty military) and family members of civilian component members are authorized to be employed on USF installations without modification of their passports, visas, and sojourn permits that otherwise reflect a family member status. Upon the sponsor’s departure from Italy, such employment terminates.***

3.23.1.4. This requirement presumes the Contractor will be a technical representative. United States authorities and Italian authorities are involved in the accreditation of contractor employees who are intended to fill such contract positions. To be eligible for technical representative status under DOCPER, the contractor must have a bachelor’s degree in related field or 8 years of related work experience. To expedite accreditation, the contractor agrees to promptly complete in accurate detail and return to the Contracting Officer or Contracting Officer’s Representative information on the contract and contract positions for which technical representative accreditation is requested, and the individual information on each employee designated to fill a technical representative position. Positions accredited as technical representatives will be documented by an individual letter of accreditation.

5. APPLICABLE PUBLICATIONS. Publications applicable to this requirement include, but are not limited to, those listed below. The Contractor is obligated to follow all applicable publications and references thereto. Supplements or amendments to listed publications from any organizational level may be issued during the life of the contract. The Contractor shall immediately implement those changes in publications, which result in a decrease or no change in the price and notify the CO in writing of such change. Should a decrease in contract price result; the Contractor shall provide a proposal for reduction in the price to the CO. Prior to implementing any change that will result in an increase, the Contractor shall submit to the CO a price proposal within 30 days of receipt of the change by the Contractor. The CO and the Contractor shall negotiate the change into the contract under the provisions of the contract clause entitled "Changes". Failure of the Contractor to submit a price proposal within 30 days from receipt of the change shall entitle the Government to performance in accordance with such change at no increase in price.

5.1. Publications and forms are available electronically through the internet and are maintained by the Government.

5.2. DoD Directives can be found at http://west.dtic.mil/whs/directives. Regulations are followed by a “-R” (e.g., DoD 6025.18-R) and can be located on the website by clicking on “Publications” instead of “Directives.”

DEPARTMENT OF DEFENSE (DoD) REGULATIONS/MANUALS

INSTRUCTIONS/DIRECTIVES

5.3. The Air Force’s E-Publishing site (http://www.e-publishing.af.mil) will be used to obtain Air Force Instructions.

AIR FORCE INSTRUCTIONS/MANUALS

Dec 09

Jan 11

5.4. Host Nation References

http://www.per.hqusareur.army.mil/CPC/DocPer/GermanyDefault.aspx Apr 03

http://www.usfk.mil Jun 07

5.5. Other References

TITLE

JCAHO Ambulatory Health Care Standards Manual current edition

Population Health PCO Guide https://phsd.afms.mil/PHSO/indexPHSO.htm

Referral Management Center User’s Guide https://kx.afms.mil/healthbenefits.

UK Immigration http://www.ukimmigration.com/ http://travel.state.gov/travel/travel_1744.html

6. GENERAL DEFINITIONS. The following terms shall have the meaning set forth in accordance with the terms of this PWS and the contract.

6.1. COMMANDER: MTF Commander, Flight Commander or other activity head, or a designated representative, e.g., Contracting Officer’s Representative (COR) or Department Head, of the activity.

6.2. CONTRACTING OFFICER (CO): The individual warranted by the USAF who awarded this contract. The only individual authorized to make changes to contract terms and conditions.

6.3. CONTRACTING OFFICER REPRESENTATIVE (COR): Individuals designated to perform quality assessment functions. They serve as on-site technical managers assessing contractor performance against contract performance standards. Personnel in this area may have many titles, such as Quality Assurance Evaluator (QAE), Quality Assurance Specialist Personnel (QASP), Contracting Officer Technical Representative (COTR), quality assurance personnel (QAP); however, their duties are essentially the same.

6.4. CONTRACTOR: The prime contractor’s staff, including all teaming partners, subcontractors and staff of those teaming partners/subcontractors, at corporate level involved in the company’s or team’s administration of this contract.

6.5. MILITARY TREATMENT FACILITY (MTF). Air Force hospitals or clinics, including all activities providing outpatient and/or in-patient healthcare services for authorized personnel.

6.6. QUALITY ASSURANCE PROGRAM (QAP): A systematic program designed to provide insight into the service SNC’s processes. The program focuses on existing data/systems to obtain process improvement and enhance performance.

6.7. QUALITY ASSURANCE EVALUATOR (QAE): Government employee responsible for evaluating the administrative performance of the Contractor.

6.8. SERVICE SUMMARY (SS): Prescribes how the Government plans to (1) assess contractor performance and, (2) manage the contract to obtain efficiencies, improved performance, and cost savings throughout its life cycle.

6.9. RECRUIT: Recruiting is the process by which SNCs from outside of the Government are located, contacted and hired for specific positions.

6.10. QUALIFY: Qualifying is the process by which the contractor screens potential applicants to ensure workers possess the qualifications required by this performance work statement and meet any additional qualification requirements specified in Section J, Attachment 3, Position Descriptions and/or the Task Order.

6.11. RETAIN: The continuity of high quality workers is a vitally important component in maintaining quality of care to Air Force beneficiaries. The Contractor shall design and manage a retention program that ensures low turnover and customer satisfaction with performance of SNCs.

6.12. SUBSTITUTION PERSONNEL: Temporary employees providing backfill for a permanent contract staff member. The coverage will be for scheduled or unscheduled absences exceeding 160 consecutive hours.

6.13. REPLACEMENT PERSONNEL: Personnel that are replacing a former staff member who left and is not returning to the position.

6.14. SNC: The individual recruited and hired by the Contractor to perform direct medical care services in support of the Air Force Integrated Primary Care program.

6.15. DAY-TO-DAY SUPERVISION AND CONTROL: The process by which the SNC receives technical guidance, direction, and approval with regard to a task(s) from the Government.

7. GOVERNMENT FURNISHED PROPERTY AND SERVICES. The Government will provide the following equipment, supplies, and services listed below for services performed inside government facilities:

7.1. EQUIPMENT/OFFICE FURNITURE: The SNC will be provided Government-controlled working space to perform services required by this contract.

7.2. FORMS: The MTF shall provide required Government forms, either hardcopy or computer-generated used in the performance of services.

7.3. SUPPLIES: The MTF will provide non-medical supplies commonly used in the facility for administrative, non-clinical services supporting the care and management of patients. Commonly used supplies are those routinely stocked by the MTF.

7.4. COMPUTER EQUIPMENT: The MTF will provide computer equipment, software and peripherals as required for accomplishment of duties. The SNCs will be required to use Government computer systems in support of the Air Force Medical Service mission.

7.5. UTILITIES: The government will furnish all required utilities (such as water, telephone, electricity, etc.) at no cost to the SNC. Long distance and Defense Switched Network (DSN) telephone services will be provided for official use only. The SNC shall participate in government energy conservation programs.

7.6. HOUSEKEEPING: Housekeeping services will be provided by the MTF.

7.7. PATIENT SCHEDULING: Clinic personnel will assist in patient scheduling. Complete administrative control of the patient shall remain with the Government.

7.8. Use of the Defense Switched Network (DSN) for official use only supporting the contracted services.

8. SPECIAL CONTRACT CLAUSES

8.1. Performance

8.1.1. When the Contractor experiences any delays in accomplishing the specific tasks identified in subparagraphs below, the contractor shall notify the Contracting Officer immediately (via phone or e-mail). The Contracting Officer will evaluate the situation to determine if an extension of the dates is appropriate. If an extension is not approved, the Government may terminate the contract for default or seek other remedies as appropriate.

8.1.1.1. Candidate Selection. Submit resumes of qualified individuals being considered for employment to the QAP through the CO within 30 calendar days after contract award. For replacement SNCs, a resume for the new employee should be submitted within 30 days after notification a replacement is required. The Government reserves the right to interview (via telephone) and approve or disapprove all candidates. The MTF shall make the determination NLT 7 business days after submission. If the contractor is not notified of the decision within 10 business days after submission, they will ask the CO for approval to move forward with the hiring action. The SNC shall physically begin performance as soon as possible, but no later than 120 days after contract award.

8.1.2. In the instance where the Government supervisor directs the SNC to remain on duty in excess of their scheduled shift due to an unforeseen emergency or to complete patient treatment where lack of continuity of care would otherwise jeopardize patient health, the SNC shall remain on duty. This provision is not intended to apply to the time required to complete routine tasks (e.g., completion of paperwork or routine administrative tasks at the end of a shift) which are to be completed as part of the shift. The SNC’s schedule shall be adjusted for the additional hours such that the number of hours on the contract is not exceeded.

8.1.3. During anticipated closure of the facility, (i.e., training holidays, administrative leave granted to the entire staff, or other closure) the contracted staff may be allowed to perform their duties. The SNC may use leave or vacation time during these anticipated closures if available when the MTF commander deems the day “minimal staffing” coverage. The Government will not pay the SNC unless they work or take paid time off during these times. The Government will notify the Contractor of anticipated closures five (5) business days in advance or as soon as possible.

8.1.4. In the event of unplanned closure of the facility due to natural disasters, military emergency, or severe weather, contract employees (for leave and pay purposes) will be treated in the same manner as DoD civilian employees. The time may be billable to the Government if the SNC would have usually worked on that day. If that day was a usual day off, no time will be billed during the closure.

8.2. Restriction on the Use of Government-Affiliated Personnel

8.2.1. The Contractor shall not employ any person who is an employee of the United States Government if the employment of that person would create a conflict of interest. The Contractor shall not employ any person who is an employee of the Department of Defense, either military or civilian, unless such person seeks and receives approval in accordance with Title 5, USC, Section 5536, DoD 5500.7-R (1993), as amended, and service directives.

8.3. Substitution of Personnel

8.3.1. Substitution Personnel are defined as temporary employees providing backfill for a permanent SNC. Coverage is required for scheduled or unscheduled absences exceeding 160 consecutive hours. The contractor agrees to initiate performance of this contract using only fully qualified SNCs who have been accepted through the Government selection process. Like any SNC placed under this contract, substitution personnel shall meet all contract requirements prior to start of work in the MTF.

8.3.2. No personnel substitutions shall be made by the contractor without the authorization from the Contracting Officer. All substitution requests will be processed in accordance with the performance work statement (Section C, Paragraph 2.1.3.2.).

8.3.3. No personnel substitutions shall be permitted unless they are necessitated by a SNC’s unexpected illness, injury, death or termination of employment. Should one of these events occur, the contractor shall promptly notify the Contracting Officer.